tailieunhanh - Báo cáo y học: " Randomized trial of achieving healthy lifestyles in psychiatric rehabilitation: the ACHIEVE trial"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Randomized trial of achieving healthy lifestyles in psychiatric rehabilitation: the ACHIEVE trial | Casagrande et al. BMC Psychiatry 2010 10 108 http 1471-244X 10 108 BMC Psychiatry STUDY PROTOCOL Open Access Randomized trial of achieving healthy lifestyles in psychiatric rehabilitation the ACHIEVE trial Sarah S Casagrande1 Gerald J Jerome2 3 Arlene T Dalcin2 Faith B Dickerson4 Cheryl A Anderson1 5 Lawrence J Appel1 2 5 Jeanne Charleston5 Rosa M Crum1 5 9 10 Deborah R Young9 Eliseo Guallar1 5 Kevin D Frick6 Richard W Goldberg7 8 Meghan Oefinger2 Joseph Finkelstein1 2 6 Joseph V Gennusa III2 Oladapo Fred-Omojole2 Leslie M Campbell2 Nae-Yuh Wang1 2 Gail L Daumit1 2 5 6 10 11 Abstract Background Overweight and obesity are highly prevalent among persons with serious mental illness. These conditions likely contribute to premature cardiovascular disease and a 20 to 30 percent shortened life expectancy in this vulnerable population. Persons with serious mental illness need effective appropriately tailored behavioral interventions to achieve and maintain weight loss. Psychiatric rehabilitation day programs provide logical intervention settings because mental health consumers often attend regularly and exercise can take place on-site. This paper describes the Randomized Trial of Achieving Healthy Lifestyles in Psychiatric Rehabilitation ACHIEVE . The goal of the study is to determine the effectiveness of a behavioral weight loss intervention among persons with serious mental illness that attend psychiatric rehabilitation programs. Participants randomized to the intervention arm of the study are hypothesized to have greater weight loss than the control group. Methods Design A targeted 320 men and women with serious mental illness and overweight or obesity body mass index kg m2 will be recruited from 10 psychiatric rehabilitation programs across Maryland. The core design is a randomized two-arm parallel multi-site clinical trial to compare the effectiveness of an 18-month behavioral weight loss intervention to usual care. Active intervention .